The Florida Senate

391.026  Powers and duties of the department.--The department shall have the following powers, duties, and responsibilities:

(1)  To provide or contract for the provision of health services to eligible individuals.

(2)  To determine the medical and financial eligibility standards for the program and to determine the medical and financial eligibility of individuals seeking health services from the program.

(3)  To recommend priorities for the implementation of comprehensive plans and budgets.

(4)  To coordinate a comprehensive delivery system for eligible individuals to take maximum advantage of all available funds.

(5)  To promote, establish, and coordinate programs relating to children's medical services in cooperation with other public and private agencies and to coordinate funding of health care programs with federal, state, or local indigent health care funding mechanisms.

(6)  To initiate, coordinate, and request review of applications to federal and state agencies for funds, services, or commodities relating to children's medical programs.

(7)  To sponsor or promote grants for projects, programs, education, or research in the field of medical needs of children, with an emphasis on early diagnosis and treatment.

(8)  To oversee and operate the Children's Medical Services network.

(9)  To establish reimbursement mechanisms for the Children's Medical Services network.

(10)  To establish Children's Medical Services network standards and credentialing requirements for health care providers and health care services.

(11)  To serve as a provider and principal case manager for children with special health care needs under Titles XIX and XXI of the Social Security Act.

(12)  To monitor the provision of health services in the program, including the utilization and quality of health services.

(13)  To administer the Children with Special Health Care Needs program in accordance with Title V of the Social Security Act.

(14)  To establish and operate a grievance resolution process for participants and health care providers.

(15)  To maintain program integrity in the Children's Medical Services program.

(16)  To receive and manage health care premiums, capitation payments, and funds from federal, state, local, and private entities for the program.

(17)  To appoint health care consultants for the purpose of providing peer review and making recommendations to enhance the delivery and quality of services in the Children's Medical Services program.

(18)  To adopt rules pursuant to ss. 120.536(1) and 120.54 to implement the provisions of this act.

History.--s. 4, ch. 78-106; s. 96, ch. 98-200; s. 6, ch. 98-288.